Category Archives: About

Diabetic Retinopathy Screening (TDRD) at distance

Diabetic Retinopathy Screening (TDRD) is a service deployed in the James Bay Cree region since 2013 and in two CLSCs in the Montreal region since 2014. A proposal for a provincial model has been submitted to the MSSS, which has prioritized and wants to implement it across the province.

Here is the recording of this conference luncheon* (April 16, 2019), that presents : the concept, the clinical model, the results and benefits with a few outlines of the provincial model.

Reports

TELEMEDICINE AND HEALTH IN NORTHERN QUEBEC

We invite you to listen to this interview with Johanne Morel and Johanne Desrochers on the topic of telemedicine. Relevant and always topical, it puts the position of health care professionals in Northern Quebec into perspective.

Dr. Morel, a paediatrician at the Montreal Children’s Hospital, describes the role of telemedicine in the health program of the North. Johanne Desrochers, Associate Director of RUIS McGill Telehealth, presents the various telehealth projects and major medical applications of telemedicine available. She concludes by outlining the main challenges to implementing the telehealth program in remote regions.

Events

Second RUIS McGill Symposium (in Rouyn – May 12 & 13, 2014)

Date : May 12 & 13, 2014
Location : Abitibi-Temiscamingue
Theme : The bonds that unites us

Among the wide range of plenary sessions and workshops:

  • Screening for diabetic retinopathy by Telemedicine
  • Impact of Northern development on population health
  • Telethrombolysis pilot project
  • Telehomecare and tele-assistance in wound care management
  • The Virtual Health and Social Services Centre: a telehealth toolbox for clinicians
  • Distance mental health services: Using telehealth to create relationships
  • Tele-ultrasound (Interdisciplinarity: Challenges in sharing practice fields between professionals)

For more informations about the program, guest speakers, organizers, registration and other general information, click on the link below:
http://www.medicine.mcgill.ca/symposiumruismcgill

Governance

STEERING COMMITTEE OF RUIS MCGILL TELEHEALTH

Responsibilities of the Steering Committee

  • Plan and establish work priorities for telehealth with the RUIS McGill Steering Committee members.
  • Facilitate and set up the different working committees.
  • Closely monitor telehealth records.
  • Represent the interests and priorities of the various partners of RUIS McGill to the MSSS, agencies, the other RUIS and different partners.
  • Collaborate with the ministerial coordination centre in the development of telehealth.
  • Work with the other RUIS to promote complementarity in telehealth.
  • Liaise between the various partners in RUIS McGill.
  • Ensure a transparent and continuous process of communication.
  • Develop a strategic plan for telehealth that reflects the needs of all the RUIS McGill partners.
  • Manage budgets allocated under the telehealth mandate.

Policies and Procedures

Terms and Conditions for Using the CvSSS Telehealth Policies and Procedures of RUIS McGill

These policies and procedures will facilitate the adoption of telehealth policies and procedures within each institution as regards the use of telehealth. Institutions may in fact affix their logo and name to appropriate them and thus significantly contribute to the implementation of a real integrated and virtual network of health and social services. Please note that the document was created in accordance with the rules, laws and procedures already in existence in Quebec, including those related to telehealth. This document was created by the Telehealth Expertise and Coordination Centre (CECoT) of CvSSS in collaboration with its regional coordinators and it shall be revised on a regular basis to reflect the best practices in telehealth.

Process of adjustment

Based on the general guidelines prescribed in ISO 12207, these telehealth policies and procedures of RUIS McGill should be used as follows: A. 1) Identification of the environment: any institution that includes telehealth in its basket of services must endorse these policies and procedures in their entirety in order to appropriate them. The institution may affix its logo and name, while respecting the intellectual property right of the MUHC. A. 4) Any adjustment-related decision and its justification must be documented by the titular institution and submitted to the MUHC for permission.

Legal Notice

Your access to and continued use of these policies and procedures constitutes your acceptance of and compliance with, the terms and conditions detailed under “Terms and Conditions for Using the Telehealth Policies and Procedures of RUIS McGill”. McGill University Health Centre. Montreal, Quebec, Canada. All rights reserved. All information in these policies and procedures is copyrighted by the McGill University Health Centre. Users of these policies and procedures are granted limited permission to adopt them in their institution for professional, non-commercial use, provided that all adjustments follow the process detailed under “General Terms”. Any other use is strictly prohibited without prior permission and the permission of the applicable rights holders. None of the information may be otherwise reproduced, re-disseminated or republished in any manner or form without the prior written consent of an authorized representative of the McGill University Health Centre.

Quality and Performance

VOLUME OF VIDEOCONFERENCING USAGE

Performance measurements have been standardized on a population basis to permit comparisons with other RUIS, other Canadian provinces and other countries.

This indicator was introduced during 2012-2013, by type of activity or all types of activities combined. Its aim is to provide an overall assessment of the evolving usage of standardized videoconferencing on a population basis and to assess its changes over time. It also serves to compare videoconferencing usage between the partner regions of RUIS McGill.

Volume of videoconferencing usage – all types of activities combined:

qualite-performance_EN

Main observations:

  • A comparison of standardized videoconferencing usage on a population basis of 10,000 inhabitants reveals that it is higher in the northern and remote regions, especially in Nunavik and Northern Quebec.
  • In the Cree Region (18), videoconferencing usage statistics are still low and do not represent the requirements of the region. This is due to the fact that videoconferencing stations were not yet deployed. A substantial increase in these results is expected in 2014-2015.
  • Statistics in this table have been extracted from the CECoT database and from some manual statistics that we receive from partners.

For more detailed information on performance indicators, see the link that appears on the right under “Reference documents”.

VOLUME OF VIDEOCONFERENCING USAGE

The following figures present the breakdown of this indicator by type of activity: clinical, training, administration and others. This serves to provide an overall assessment of the evolving usage of videoconferencing by type of activity over time.

Volume of videoconferencing usage – by type of activity:

Volume of videoconferencing usage – by type of activity
Year 2011-2012

volume-2011-2012_EN

Volume of videoconferencing usage – by type of activity
Year 2012-2013

volume-2012-2013_EN

Volume of videoconferencing usage – by type of activity
Year 2013-2014 

volume-2013-2014_EN

Main observation:

  • Despite the fact that videoconferencing usage has doubled in the past three years, it constitutes 21 to 24% of total activity in telehealth and is still sub-optimal.

For more detailed information on performance indicators, see the link that appears on the right under “Reference documents”.

SERVICE INTENSITY

Performance measurements have been standardized on a population basis to permit comparisons with other RUIS, other Canadian provinces and other countries.

This indicator was added in 2013-2014. Its aim is to provide an overall assessment of the evolving hours of videoconferencing usage on a population basis and to assess the changes in hours of usage over time.

intensite-services_EN

Main observations:

  • The number of hours of standardized videoconferencing usage on a population basis is higher in remote regions.
  • Considering that the intensity of telehealth usage in remote regions is significantly higher than elsewhere (just like their usage volume), it is not surprising that such regions generate huge pressure on the internal organization of their services in terms of human resources required to support these activities.

For more detailed information on performance indicators, see the link that appears on the right under “Reference documents”.

Mission, Vision and Objectives

MISSION

The mission of the RUIS McGill Telehealth Office is to contribute more significantly to improving the public health of the RUIS McGill territory by providing specialized and super-specialized health services closest to home.

VISION

Through the implementation of a multipurpose infrastructure for this Office, the vision of RUIS McGill is to enable its partners to have better access to health care and to a network of exchange and communication both at the clinical, educational, administrative and research levels.

OBJECTIVES

  • Increase accessibility of specialized care in rural and remote regions, as close to home as possible, by reducing travel, associated costs and stress, both for patients/families and for professionals.
  • Improve the quality of care in rural and remote regions by speeding up clinical decision-making, treatment and prevention of medical complications, particularly in the case of emergencies and trauma.
  • Promote continuity of care by avoiding interruptions in service to RUIS patients through mutual support among the UHCs for specialized care, and mutual support among the CSSS for first-line and second-line care (inter- and intra-regional support or inter- and intra-RUIS support).
  • Strengthen the capability of care providers in the regions to look after the clientele in their territory.
  • Promote regional retention and recruitment of health care professionals, especially in remote and rural regions.
  • Implement a sustainable, multipurpose (clinical, training, administrative) telehealth infrastructure that could be rolled out for provincial use.

The ultimate goal is to provide the public with better accessibility and continuity in specialized services, in keeping with the prioritization of care.

e-Newsletters

Various newsletters are sent via e-mail to our partners or other people who are on our mailing list:

  • A quarterly newsletter entitled “e-Bulletin” summarizes the highlights of the CvSSS activities and the progress of work. You will also find testimonials and updated results on videoconference usage statistics.
  • Special newsletters, if need be, for important information or ad hoc communications.

Please contact the CECoT in case you wish to send us advertisements, testimonials or information about telehealth for publication in our newsletters. Furthermore, if you do not receive our mails, please contact the CECoT to subscribe to our mailing list (this is also the procedure if you wish to unsubscribe).